EHR Certification

Is the Electronic Health Record Defunct?

by Jerome Carter on April 28, 2014 · 10 comments

When building software, requirements are everything. And although good requirements do not necessarily lead to good software, poor requirements never do.   So how does this apply to electronic health records?   Electronic health records are defined primarily as repositories or archives of patient data. However, in the era of meaningful use, patient-centered medical homes, and accountable […]


The Many Faces of the Electronic Health Record

by Jerome Carter on March 31, 2014 · 1 comment

Electronic health records are catching on.  Adoption rates are climbing, and there are more products,  more articles, more seminars, more complaints, and more debates.   Do EHR systems save money? Do they improve care? Do they lower productivity? Are they difficult to use? Do they make the patient narrative harder to create and follow?   Many discussions […]

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EHR Blues = Market Opportunity

by Jerome Carter on June 17, 2013 · 1 comment

Evidence is mounting that providers are dissatisfied with their EHRs—so much so that they are willing to switch.   I don’t see this as unexpected or problematic.  It is simply a sign of a maturing market and the growing sophistication of EHR users, which I think bodes well for innovative vendors. According to a recent survey […]

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EHR Architecture and Design Resources

by Jerome Carter on March 25, 2013 · 0 comments

While putting together a set of EHR architecture/design study materials, I decided to go ahead and create another resource page.    As with the Clinical Workflow page, the Architecture and Design page will have PubMed, IEEE, and ACM citations.   The Architecture and Design page has been created to serve as a resource for those who are […]


Is Your EHR Hackable?

by Jerome Carter on February 4, 2013 · 2 comments

Last month the Washington Post ran an article, Health-care Sector Vulnerable to Hackers, Researchers Say, which sounded alarms concerning the security of clinical systems.   Reflecting on the state of HIT security, the article quotes Avi Rubin, a security researcher: I have never seen an industry with more gaping security holes,” said Avi Rubin, a computer […]


Two weeks ago I wrote about the value of EHR timelines and audit trails. Today’s post takes that discussion a little further by demonstrating various ways of keeping track of data accesses and changes in EHR data element values.   Of course, this functionality is useful for any clinical database that might be covered under HIPAA.  […]


As EHR use increases, the number of complaints about incoherent paper printouts has grown.  However, it isn’t just clinicians who are having problems.   EHRs Prove a Difficult Witness in Court , an article from the Journal of AHIMA, details the legal headaches that can occur as a result of the inability to reconstruct an accurate […]

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